Insurance Information
Dr. Liedtke-Hendrickson is a provider for most major insurance plans. Please
contact our office for information regarding your particular insurance coverage. Our staff will be glad to verify insurance
benefits, get authorization for treatment, and file claims for those insurance plans in which we participate.
Notice of Right to Good Faith Estimate for Self-Pay
You have the right to receive a “Good Faith Estimate”
explaining how much your medical and mental health care will cost.
Under the law, health care providers need to give patients
who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including
psychological services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare
services, including psychological services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before
you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith
Estimate, visit www.cms.gov/nosurprises.
